Chapter 10 (Questions)

C. Determining the level of responsiveness

Which of the following is NOT considered part of the scene size-up?

A.   Determining the mechanism of injury

B.   Requesting additional assistance

C.   Determining the level of responsiveness

D.   Determining the need for personal protective equipment (PPB) / standard precautions

A. pregnant until proven otherwise

You should consider all women of childbearing years who are complaining of lower abdominal pain to be:

A.   pregnant until proven otherwise

B.   experiencing cramps associated with menstruation

C.   victims of sexual assault

D.   suffering from a urinary tract infection

b.

With _____, the force of the injury occurs over a broad area, and the skin is usually not broken.

a.  motor vehicle collisions

b. blunt trauma

c.  penetrating trauma

D. gunshot wounds

D. Abdominal pain

Which of the following conditions is NOT known to cause a slow capillary refill?

A. Vasoconstriction

B.  Hypothermia

C.  Age

D. Abdominal pain

B. Tidal volume

_______ is the measure of the amount of air that is moved into and out of the lungs in one breath.

A. Residual volume

B. Tidal volume

C.  Vital capacity

D.  Minute volume

A. Puncture

There are three elements to the physical exam. Which of the following is NOT one of those elements?

A.   Puncture

B.    Inspection

C.    Palpation

D.   Auscultation

C. the events leading up to the incident

When determining the initial general impression, you should note all of the following EXCEPT:

A.   the patient's age

B.    the level of distress

C.    the events leading up to the incident

D.   the patient's sex

B. Palpating a pulse

Which of the following is included in the primary assessment?

A. Blood pressure

B. Palpating a pulse

C. Oxygen saturation

D. Pupil size

C. Difficulty breathing

Which of the following conditions would be considered "high priority" when determining the priority of transport?

A. Uncomplicated childbirth

B. Mild abdominal pain

C. Difficulty breathing

D. Pink skin color

B. Responsive to pain

What does the "P" on the AVPU scale represent?

A. Responsive to palpation

B. Responsive to pain

C. Responsive to provocation

D. Responsive to palliation

B. 12 to 20 breaths per minute

A normal respiratory rate for an adult is typically:

A. 5 to 10 breaths per minute

B. 12 to 20 breaths per minute

C. 15 to 30 breaths per minute

D. 20 to 30 breaths per minute

D. brachial

For children younger than 1 year, you should palpate the _____ artery when assessing the pulse.

A. carotid

B. radial

C. femoral

D. brachial

A. Cyanosis

When there are low levels of oxygen in the blood, the lips and mucous membranes appear blue or gray. What is the name of this condition?

A. Cyanosis

B. Pallor

C. Jaundice

D. Ashen

C. if one is present

Your first consideration when assessing a pulse is to determine:

A. how fast the rate is

B. the quality

C. if one is present

D. if the rhythm is regular

D. 30-second

To obtain the pulse rate in most patients, you should count the number of pulses felt in a ____ period and then multiply by two.

A. 15-second

B. 20-second

C. 25-second

D. 30-second

D. Mucous membranes of the mouth

In a patient with deeply pigmented skin, where should you look for changes in color?

A.   Ear canals

B.    External eyelids

C.    Groin

D.   Mucous membranes of the mouth

C. penetrating trauma

With _____, the force of the injury occurs at a small point of contact between the skin and the object piercing the skin.

A. motor vehicle collisions

B. blunt trauma

C. penetrating trauma

D. falls

C. Cold water

Which of the following is NOT considered a method for controlling external bleeding?

A. Direct pressure

B. Tourniquet

C. Cold water

D. Elevation

A. chief complaint

The _____ is/are the most serious thing that the patient is concerned about, the reason why they called 9-1-1.

A. chief complaint

B. pertinent negatives

C. severity

D. past medical history

C. history

The four items used to assess the orientation of a patient's mental status include all of the following EXCEPT:

A. person

B. place

C. history

D. events

B. DCAP-BTLS

An integral part of the rapid exam is evaluation using the mnemonic:

A. AVPU

B. DCAP-BTLS

C. OPQRST

D. SAMPLE

C. dilate

In the absence of light, the pupils will:

A. constrict

B. stay fixed

C. dilate

D. become unequal

D. Breath odor

When assessing the respiratory system, which of the following is NOT considered essential to the assessment?

A. Respiratory rate

B. Depth of breathing

C. Quality/ character of breathing

D. Breath odor

A. The body will not be supplied the necessary oxygen if the airway is not managed.

Which of the following statements regarding assessment of the airway is TRUE?

A. The body will not be supplied the necessary oxygen if the airway is not managed.

B. You should use the head tilt—chin lift maneuver to open the airway in trauma patients.

C. The tongue is generally not a cause of airway obstruction.

D. A conscious patient who cannot speak or cry is most likely hyperventilating.

B. Vibration

Which of the following is NOT considered a type of breath sound?

A. Rhonchi

B. Vibration

C. Wheeze

D. Stridor

C. Multiple injuries in various stages of healing

You are examining a 40-year-old female who you suspect might be a victim of abuse. Which of the following supports your suspicion?

A. Mechanism of injury that matches the patient's history

B. Unremarkable medical history with no previous injuries

C. Multiple injuries in various stages of healing

D. Consistent history reporting by the patient

B. give the hospital advance notice in your radio report

When caring for a patient who is unable to speak or understand English, you should:

A. raise the volume of your voice

B. give the hospital advance notice in your radio report

C. feel free to make derogatory remarks

D. encourage the patient to learn English

C. Pulse oximetry

______ is an assessment tool used to evaluate the effectiveness of oxygenation.

A.   Capnography

B.    Capnometry

C.    Pulse oximetry

D.   Blood glucose

D. systolic pressure

The pressure felt along the wall of the artery when the ventricles of the heart contract is referred to as the:

A. asystolic pressure

B. diastolic pressure

C. idiopathic pressure

D. systolic pressure

A. may result in a falsely low reading

A blood pressure cuff that's too large for the patient:

A. may result in a falsely low reading

B. may result in a falsely high reading

C. will not affect the reading

D. should be used in patients with arm pain

B. Crepitation

Which of the following is NOT typically found on an abdominal exam?

A. Guarding

B. Crepitation

C. Tenderness

D. Rigidity

B. subcutaneous emphysema

Crackling sounds produced by air bubbles under the skin are known as:

A. subcutaneous ecchymosis

B. subcutaneous emphysema

C. subcutaneous erythema

D. subcutaneous emboli

A. 5

Unstable patients should be reassessed every _____ minutes.

A. 5

B. 10

C. 15

D. 20

B. tripod

In the ______ position, the patient sits leaning forward on outstretched arms with the head and chin thrust slightly forward.

A. Fowler's

B. tripod

C. sniffing

D. lithotomy

A. carotid

In an unresponsive adult patient, the primary location to assess the pulse is the _____ artery.

A. carotid

B. femoral

C. radial

D. brachial

B. jaundice

Liver disease or dysfunction may cause, resulting in the patient's skin and sclera turning yellow.

A.   cyanosis

B.    jaundice

C.    diaphoresis

D.   lack of perfusion

C. radial

When obtaining a blood pressure by palpation in the arm, you should place your fingertips on the ______ artery.

A. carotid

B. brachial

C. radial

D. posterior tibial

B. reassessment

The is performed at regular intervals during the assessment process, and its purpose is to identify and treat changes in a patient's condition.

A. primary assessment

B. reassessment

C. secondary assessment

D. scene size-up

A. Dizziness

Which of the following is NOT considered a sign?

A. Dizziness

B. Marked deformities

C. External bleeding

D. Wounds

D. decreasing the blood flow to the skin and extremities

When blood pressure drops, the body compensates to maintain perfusion to the vital organs by:

A. decreasing the pulse rate

B. dilating the arteries

C. decreasing the respiratory rate

D. decreasing the blood flow to the skin and extremities

A. speak loudly into the patient's ear because he or she can't see you

When assessing and treating a patient who is visually impaired, it is important that you do all of the following EXCEPT:

A. speak loudly into the patient's ear because he or she can't see you

B. announce yourself when entering the residence

C. put items that were moved back into their previous position

D. explain to the patient what is happening

C. Your questions should be lengthy and complex.

Which of the following statements is false regarding the assessment of patients with a language barrier?

A. You should find an interpreter.

B. You should determine whether the patient understands you.

C. Your questions should be lengthy and complex.

D. You should be aware of the language diversity in your community.

D. retreat to a safe place and wait for law enforcement to arrive.

You arrive at the scene of an “injured person.” As you exit the ambulance, you see a man lying on the front porch of his house. He appears to have been shot in the head and is lying in a pool of blood. You should:

A. immediately assess the patient.

B. proceed to the patient with caution.

C. quickly assess the scene for a gun.

D. retreat to a safe place and wait for law enforcement to arrive.

A. primary assessment.

Findings such as inadequate breathing or an altered level of consciousness should be identified in the:

A. primary assessment.

B. focused assessment.

C. secondary assessment.

D. reassessment.

D. Rapid heart rate

Which of the following would you NOT detect while determining your initial general impression of a patient?
A. Cyanosis
B. Gurgling respirations
C. Severe bleeding
D. Rapid heart rate

B. perform a rapid exam.

Your primary assessment of an elderly woman who fell reveals an altered level of consciousness and a large hematoma to her forehead. After protecting her spine and administering oxygen, you should:

A. reassess your interventions.

B. perform a rapid exam.

C. transport the patient immediately.

D. perform a focused assessment of her head.

C. responsive to painful stimuli.

A semiconscious patient pushes your hand away when you pinch his earlobe. You should describe his level of consciousness as:
A. alert.
B. unresponsive.
C. responsive to painful stimuli.
D. responsive to verbal stimuli.

B. manually positioning the head.

Assessment of an unconscious patient’s breathing begins by:
A. inserting an oral airway.
B. manually positioning the head.
C. assessing respiratory rate and depth.
D. clearing the mouth with suction as needed.

B. two- to three-word dyspnea.

Your 12-year-old patient can speak only two or three words without pausing to take a breath. He has a serious breathing problem known as:
A. nasal flaring.
B. two- to three-word dyspnea.
C. labored breathing.
D. shallow respirations.

D. Palpate the carotid pulse in the neck.

How should you determine the pulse in an unresponsive 8-year-old patient?
A. Palpate the radial pulse at the wrist.
B. Palpate the brachial pulse inside the upper arm.
C. Palpate the radial pulse with your thumb.
D. Palpate the carotid pulse in the neck.

C. Region/radiation

When assessing your patient’s pain, he says it started in his chest but has
spread to his legs. This is an example of what part of the OPQRST
mnemonic?
A. Onset
B. Quality
C. Region/radiation
D. Severity